Examining the influence of mental health and structural determinants of health on the stage of motivational readiness for health behaviour changes: A path analysis study

Author:

Gómez-Gómez Irene123ORCID,Rodero-Cosano María Luisa1ORCID,Bellón Juan Á23456,Zabaleta-del-Olmo Edurne23789,Maderuelo-Fernandez José A23101112,Moreno-Peral Patricia234,Magallón-Botaya Rosa231314ORCID,Oliván-Blázquez Bárbara231314,Casajuana-Closas Marc23715,López-Jiménez Tomàs23715,Bolíbar Bonaventura23715,Llobera Joan2316,Clavería Ana231718ORCID,Sanchez-Perez Alvaro2319,Motrico Emma232021

Affiliation:

1. Universidad Loyola Andalucía, Spain

2. Prevention and Health Promotion Research Network (redIAPP), Institute of Health Carlos III, Spain

3. Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III, Spain

4. Biomedical Research Institute of Málaga (IBIMA), Spain

5. Andalusian Health Service (SAS), Spain

6. University of Málaga, Spain

7. Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain

8. Institut Català de la Salut, Spain

9. Universitat de Girona, Spain

10. Unidad de Investigación en Atención Primaria de Salamanca (APISAL), Spain

11. Instituto de investigación Biomédica de Salamanca (IBSAL), Spain

12. Gerencia de Atención Primaria de Salamanca, Spain

13. Universidad de Zaragoza, Spain

14. Institute for Health Research Aragón (IISA), Spain

15. Universitat Autònoma de Barcelona, Spain

16. Servei de Salut de les Illes Balears, Spain

17. Área de Vigo, SERGAS, Spain

18. Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, Spain

19. BioCruces Bizkaia Health Research Institute, Basque Healthcare Service – Osakidetza, Spain

20. Instituto de Investigaciones Biomédicas de Sevilla, IBIS (Universidad de Sevilla, HUVR, Junta de Andalucía, CSIC), Sevilla, Spain

21. Departamento de Psicología Evolutiva y de la Educación, Universidad de Sevilla, Spain

Abstract

This study explores the influence of mental health and structural determinants of health on motivational readiness for health behaviour change in 1462 Spanish primary healthcare users. Chi-square test and structural equation modelling were performed. Results showed that depression and anxiety were negatively associated with being in the action stages of motivational readiness for a healthy diet and physical activity. This association was statistically significant only for motivational readiness for a healthy diet and depression ([Formula: see text]). Furthermore, women and workers were more likely to be in the action stages of motivational readiness for a healthy diet while older adults and adults with higher health-related quality of life were more likely to be in the action stages of motivational readiness for physical activity. The present study suggests that structural (being older, being a woman and being employed) and intermediary (suffering from depression and higher health-related quality of life) determinants of health influence motivational readiness for health behaviour changes.

Funder

Consejería de Economía, Conocimiento, Empresas y Universidad, Junta de Andalucía

Instituto de Salud Carlos III

Generalitat de Catalunya

Research Network in Preventive Activities and Health Promotion in Primary Care

Publisher

SAGE Publications

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